Adrenal Insufficiency Emergency Action Plan

Patient Guide for Managing Adrenal Crisis

Endocrinology

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Last updated: Mar 24, 2025

Patient Information

Name: _______________________ Date of Birth: ________________ Emergency Contact: ____________

Warning Signs of Adrenal Crisis

  • Severe fatigue or weakness
  • Severe abdominal pain, nausea, vomiting
  • Dizziness or fainting
  • Confusion or disorientation
  • Low blood pressure
  • Fever

Emergency Steps

1. Immediate Actions

  • Take emergency injection of hydrocortisone/Solu-Cortef
    • Adult dose: 100mg
    • Child dose: Consult your doctor (_____mg)
  • Call emergency services (911) or go to nearest ER
  • Show medical alert bracelet to responders

2. Stress Dosing Guidelines

Double or triple oral hydrocortisone for:

  • Fever > 101°F (38.5°C)
  • Severe illness
  • Physical injury
  • Dental procedures
  • Surgery

Emergency Kit Contents

  • Injectable hydrocortisone (Solu-Cortef)
  • Syringes
  • Alcohol wipes
  • Written instructions
  • Emergency contact information

Important Contacts

Endocrinologist: _________________ Phone: _________________________ Hospital: _______________________

Additional Instructions

  • Always wear medical alert jewelry
  • Keep emergency kit accessible
  • Replace medication before expiration
  • Train family members in injection technique

Physician Signature & Date

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